Pre-Analytic Variables
The breakdown of red blood cells, which can have an effect on laboratory results.
What is Hemolysis?
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What are Bronson's values?
The median cubital vein
What is the first choice in site selection for venipuncture?
True or False
Identify yourself when you’re placing a call. Even if it's a department you call frequently, don't assume the person on the other end knows the sound of your voice.
True
EDTA is the primary additive used in this collection tube.
What is the lavender tube?
What are common practices to prevent hemolysis?
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What is Bronson's Vision?
15- 30 degrees
What is the proper angle of insertion for venipuncture?
True or False
The phlebotomist is often the first clinical impression a patient has of Bronson. It is extremely important to provide customer service that makes the patient feel comfortable and safe.
True- patients who feel comfortable with their care teams heal faster- patients who feel cared for at Bronson are likely to return!
This tube type is used when collecting a complete blood count (CBC)
What is a lavender tube?
This error has the potential to cause the most harm to the patient and is also the most easily avoided error type.
What is proper patient identification and specimen labeling?
Acknowledge- restate what you heard and use empathy.
Apologize- (this doesn't mean you created the problem)
Amend- Tell them what you can do, offer options.
What is service recovery using "Triple A"?
Before the needle is withdrawn
What is when to release the tourniquet?
True or False
If I do not know the answer to a patient's question, it is okay to tell the patient that I don't have the information they are asking for.
FALSE- you may not know the answer to the question, but you are required to help the patient find the answer before closing your interaction with that patient. It's okay not to know, it's not okay not to use resources in order to help them.
This tube type is used to collect a sample for coagulation studies (APPT or PTIN for example)
What is a blue top (sodium citrate) tube?
The specific order blood samples must be drawn in by phlebotomists in order to avoid cross-contamination of the sample by additives found in different collection tubes.
What is the order of draw?
We are committed to putting diversity, equity and inclusion (DEI) into practice to create a culture of belonging in an environment free of prejudice and stereotypes for those we employ and serve.
What is Bronson's Commitment to Equity?
1 Minute
What is the longest length of time the tourniquet should be left on a patient?
Patients don't care if I am checking my cell phone for updates on social media or recent text messages while they wait.
False
All patient care areas are a "no phone zone" it is our goal to see all our patients in a timely manner, if a patient sees a phlebotomist playing with their phone or seemingly "goofing off" it diminishes the level of professionalism they feel they are receiving and increases likelihood of complaints or concerns about the quality of work we do.
This tube has a clear fill-line that the sample MUST be filled to. If the sample collected is above or below the line, the sample will be rejected and recollected.
What is a blue (sodium citrate) tube?
This type of error would cause a recollection for a hematology or coagulation test.
What is clotting?
Stop
Think
Act
Review
What is the STAR tool used to develop self-checking habits?
NAME
DATE OF BIRTH
MEDICAL RECORD NUMBER (HOSPITAL ID)
What are the 3 most important patient identifiers?
True or False
Patients are our only customers.
False.
Patients are our customers, of course. So are RNs, Physicians, and our teammates. Customer service applies to the interactions we have with both patients and teammates. Good customer service includes your attitude, enthusiasm, and behaviors.
This tube type must clot for 30 minutes prior to centrifugation.
What is an SST (gold top) or Red top?